Male or Other

Theodore S. Lawrence MD

Radiation Oncology Physician in Ann Arbor, MI(View on Map)

Full Name

Theodore S Lawrence MD

NPI Number

1144312547

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/29/2006

Specialties

(Taxonomies)

Code

2085R0001X
207R00000X
207RX0202X

Primary Taxonomy

Yes
No
No

Licenses

State

Michigan

License Number

4301050925

Contact
Information

Purpose

Mailing
Location

Address

3621 S STATE ST
1500 E MEDICAL CENTER DR

City

Ann Arbor
Ann Arbor

State

MI
MI

Postal Code

48108-1633
48109-5000

Country

US
US

Telephone Number

(734) 647-5299
(734) 936-4000

Identifiers

Identifier

3453959

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/13/2020

Provider Address

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